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Checotah Holdings, LLC — NPI 1992778278, Checotah, OK | NPI Central

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NPI 1992778278

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Checotah Holdings, LLC

NPI 1992778278 · Pediatric Skilled Nursing Facility · Checotah, OK

Provider details

NPI number: 1992778278
Entity type: Organization
Primary specialty: Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Deborah Kelsoe, Administrator(918) 473-5598
License: 313M00000X (OK)

Specialties & taxonomies

Pediatric Skilled Nursing FacilityPrimary3140N1450XLicense 313M00000X (OK)
Nursing & Custodial Care Facilities

Practice location

321 Se 2nd St

Checotah, OK 74426-4005

Phone: (918) 473-2251

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address

Po Box 429

Checotah, OK 74426-0429

Other names (DBA / former)

Doing business as: Checotah Manor

Registry dates

Enumerated: 2006-02-08
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.